Individual
LAURA N FOURZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, RPT
Contact information
Practice address
2270 LA MONTANA WAY, SUITE 100, COLORADO SPRINGS, CO 80918-6715
(719) 538-3264
(719) 266-5636
Mailing address
5210 DIAMOND DR, COLORADO SPRINGS, CO 80918-2441
(719) 266-5636
(719) 266-5636
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3593
CO
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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